Provider Demographics
NPI:1043485048
Name:NORTON, RONALD (MED, MS)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:NORTON
Suffix:
Gender:M
Credentials:MED, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 174
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:WA
Mailing Address - Zip Code:98848-1641
Mailing Address - Country:US
Mailing Address - Phone:509-398-0401
Mailing Address - Fax:
Practice Address - Street 1:1005 10TH AVE SW
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:WA
Practice Address - Zip Code:98848-1908
Practice Address - Country:US
Practice Address - Phone:509-398-0401
Practice Address - Fax:509-787-2252
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60032265101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health